Journal
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
Volume 6, Issue 2, Pages 116-125Publisher
WILEY
DOI: 10.1111/j.1743-7563.2010.01286.x
Keywords
breast cancer; follow up; shared care; survivorship care plan
Categories
Funding
- Friends of the Mater Hospital, Sydney, Australia
- Section of Breast Surgery
- Royal Australasian College of Surgeons
- Medical Oncology Group of Australia
- Faculty of Radiation Oncology
- Royal Australian and New Zealand College of Radiologists
- Australasian Society of Breast Physicians
- Breast Interest Group of the Cancer Nurses Society of Australia
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Objective: The increasing number of breast cancer survivors and the complexity of follow-up care make the provision of high-quality survivorship care a challenge. This study explored the follow-up practices of health professionals and their attitudes to alternative models such as shared care and the use of a survivorship care plan. Methods: Specialist oncologists (surgeons, medical and radiation oncologists) breast physicians and breast-care nurses completed an online survey. Results: A total of 217 practitioners completed the survey, which was estimated to include 42.8% of oncologists treating breast cancer in Australia. One-third of responding specialists reported spending more than 25% of their clinical time providing follow-up care. They reported many positive aspects to follow-up consultations and viewed follow-up care as an important part of their clinical role but expressed concern about the sustainability of follow-up care in their practices. The follow-up intervals and recommendations were in line with national guidelines. The specialists were supportive of sharing follow-up care with primary-care physicians, breast physicians and breast-care nurses. Most professionals felt that a survivorship care plan would improve care and said they would use a proforma. Conclusion: The oncologists felt that follow-up care was an important part of their role and they were supportive of the concepts of shared care programs and a survivorship care plan. Input from consumers is required to evaluate the acceptability of these alternative models and to assess ways of implementing these changes to work towards a more comprehensive and sustainable method of delivering survivorship care.
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